Maternal Exam 3

When assessing a family, the nurse determines that the parents exert little or no control over their children. This style of parenting is known as?

permissive

A contraindication to vaccine administration indicates that the child has an increased risk of serious side effects from the vaccine and therefore should not receive that vaccine. What is the one universal contraindication to all vaccines?

previous severe allergic reaction to the vaccine

A pediatric nurse listens while a mother describes her toddler's eating habits. The mother states that her daughter "refuses to eat vegetables at mealtime" and "wants peanut butter sandwiches for every meal." The nurse's best advice to the mother is:

reassure her that food fads are normal and the tendency will pass

The pediatric nurse caring for hearing-impaired children teaches parents the following recommended guidelines for communicating with their children: (Select all answers that apply.)

talk slowly, obtain the child's attention before speaking.

The nurse is caring for a school-age girl who has had a cardiac catheterization. The child tells the nurse that her bandage is "too wet." The nurse finds the bandage and bed soaked with blood. What is the most appropriate initial nursing action?

Apply direct pressure above the catheterization site

In what type of play are children engaged in similar or identical activity without organization, division of labor, or mutual goal?

Associative

On physical assessment of the skin of a patient, the nurse documents cyanosis. This finding may indicate what complication?

compromised cardiovascular state

Nrs teaching school age child how to apply dressing change

demo the procedure

PCA

morphine

Effects of cystic fibrosis

thick mucus that blocks exocrine glands, increased thick mucus in airways, reproduction system is affected later in life

Treatment of lice (pediculosis capitus)

treat with a 1% permethrin solution

Pain management in peds

use of pain scales

What is an important consideration for the nurse who is communicating with a very young child?

use transition objects such as a doll

When communicating with a very young child

use transitional object

Strep throat student can return to school after

24 of antibiotic treatment

A infant who weighs 9 pounds at birth would be expected to weigh how many pounds at 1 year of age?

27

At what age do most infants begin to fear strangers?

6 months

Sara , age 6 months, was born at 35 weeks gestation. She seems to be developing normally, but her parents are concerned because she is a more difficult baby than their other child, who was born at term. How does the nurse explain this?

An infant's temperament is part of their unique characteristic

The nurse observes some children in the playroom. Which play situation exhibits the characteristics of parallel play?

Brian playing with his truck next to Kristina playing with her truck

The signs that can be used to indicate increased intracranial pressure in the infant but not in the older child is?

Bulging fontanel

An appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler is to:

Encourage parents to room in

When caring for a child with an intravenous infusion, what nursing intervention is the most appropriate?

Ensure patency by observing the infusion site frequently for signs of infiltration

What is the priority nursing intervention when a child is unconscious after a fall?

Establish adequate airway

Teaching why kids get more ear infections than adults

Eustachian tubes angled differently

In providing care ot a child with immunosuppression, the pediatric nurse is vigilant about which assessment?

Fever

A baby is born today with a weight of 9 pounds, 8 ounces at 38 weeks gestation. What serum level should be assessed immediately after birth?

Glucose level

Which strategy would be the least appropriate for a child to use to cope ?

Having parents solve problems

A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. What is the therapeutic management of this child?

IV Fluids

Severe dehydration tx

IV bolus of normal saline or Lactated ringers (20mL/kg) 100mL as fast as possible

A toddler's parent asks the nurse for suggestions on dealing with temper tantrums. What is the most appropriate recommendation?

Ignore the behavior provided the child is not causing injury

child who has a fever

Increased fluid requirement

By the time children reach their twelfth birthday, they should have learned to trust others and should have developed a sense of what?

Industry

After the acute stage and during the healing process the primary complication from burn injury is which of the following?

Infection

The pediatric nurse explains to the parents of a child with type 1 diabetes that there are several major components of treatment for their child, including: (Select all answers that apply.)

Insulin, exercise, diet

Meningitis test to use to dx is

LP

A toddler is diagnosed with iron defiecency anemia which is found to be dietary in nature. What recommendation would the nurse make to the parents to enhance dietary iron intake to promote growth and development?

Limit milk to no more than 32 ounces a day

4-year-old girl is brought to the emergency department. She has a "frog-like" croaking sound on inspiration, is agitated, and is drooling. She insists on sitting upright. What does the nurse recognize as the first action?

Maintain airway

Which drug is usually the best choice for patient-controlled analgesia (PCA) for a child in the immediate postoperative period?

Morphine

A 6-year-old child is being discharged from the emergency department after being diagnosed with varicella or chickenpox. What over the counter medication should he nurse instruct the parents to avoid administering?

Motrin

Chickenpox

No aspirin

What is probably the single most important influence on growth at all stages of childhood development?

Nutrition

The nurse is caring for a child who has a burn. The child has a large burned area on the left leg. The burned area appears pink, has blisters, and is very painful. How will the nurse categorize this injury?

Partial - thickness superficial

Treatment for a sprain

RICE (rest, ice, compression, elevation)

The clinic is lending a federally approved car seat to an infant's family. The nurse should explain that the safest place to put the car seat is where?

Rear facing in the back seat

The nurse is caring for a hospitalized 4-year-old child, Ryan. His parents tell the nurse that they will be back to visit at 6 p.m. When Ryan asks the nurse when his parents are coming, what is the nurse's best response?

They will come after dinner

Discipline is important to the growth and development of children. Discipline can teach a child how to manage behavior. Some discipline will destroy a child's self- esteem. Which discipline is appropriate? (select all that apply)

Time out, Consequences of actions, Removal of privileges

A prescription for Morphine sulfate IV bolus has been ordered for a child who is in pain. The nurse preparing to administer the medication realizes that the client appears small for her age. Which of the following actions should the nurse take?

Weigh the child and calculate the dosage range

Hospitalized 4 y/o child when will parents return

after dinner

Priority nursing intervention for child after a fall

airway

Prevent exercised induced asthma use

albuterol

Child with enuresis will have

altered body image

The pediatric nurse teaches a patient that following a sprain to an extremity, it is important to take the following measures: (Select all answers that apply.)

apply an ace wrap to apply pressure and reduce swelling of the joint.

Post cardiac cath wet dressing

apply pressure

Nonproductive cough with wheezing

asthma

A new mother expresses concern to a nurse regarding sudden infant death syndrome. (SIDS). She asks the nurse how to position her new infant for sleep. The nurse appropriately tells the mother that the infant should be placed in what position?

back rather than stomach

Increased intracranial pressure

bulging fontanel

Pinworms (Enterobius vermicularis) dx

by tape test

Fx arm post cast assessment is for

cap refill, temperature, sensation and finger movement

Parent calls says 2 month old more hungry and projectile vomiting, nurses advice is

come into clinic

Divorced parents with different options of treatment

confirm custodial parent

TYPE 1 diabetic several components to treatment

diet, insulin, exercise

Nursing care for a child with an IV

ensure patency and check for infiltration

Nurse teaching about child fx should say

epiphyseal plate injuries can result in altered bone growth

Hospital care for a toddler getting an IV

explain using favorite toy, allow to choose color of bandage, apply lidocaine topical gel to potential insertion sites-S

Nurses must be alert for increased fluid requirement when a child has which of the following medical issue?

fever

Child who is immunosuppressed

focus on fever

Tonsillectomy - post op bleeding s/s

frequent swallowing

Health teaching that the nurse would provide for parents of an immunosuppressed child focuses on which important measure?

handwashing

Sickle cell comes into ER priority nursing interventions are

hydration and pain management

Post op tonsillectomy

ice chips

Medication based on wt

in kg

Fussy infant same time every day, pull up legs

infant colic

A mother brings her infant to the pediatrician for a check-up. She tells the pediatric nurse that almost every afternoon her infant fusses generally occurring at the same time each day, usually during the late afternoon or evening. The infant pulls both legs and arms into a flexed position. Based on this description, the nurse suspects that the infant has:

infantile colic

After acute stage of burn injury pt at risk for

infection

Head injury nursing priority assessment

level of consciousness

The pediatric nurse carefully monitors a patient's status by assessing the child's level of consciousness. The nurse understands that the Glasgow Coma Scale provides clues to:

neurological status.

Pt cyanotic on assessment

nurse thinks compromised cardiovascular state

Nursing care for an infant in pain

offer pacifier, encourage skin to skin/kangaroo care, use swaddling

What actions can a nurse do that is most likely to encourage the parents to talk about their feelings related to their child's injuries?

open ended questions

Child with ulcerative colitis

perfuse diarrhea

Frog like croaking sound on inspiration what is priority nursing intervention

protect airwaiy

Fentanyl and midazolam (Versed) are given before debridement of a child's burn wounds. These drugs are important for what purpose?

provide pain relief

Down syndrome children are at greater risk for

respiratory infections and need extra humidification in their rooms.

Toddler drinks qt of milk a day with decreased appetite

risk for iron deficiency anemia

Hospitalized toddler

room in

Nrs care of child during a sz

safe environment, maintain airway

UTI in girls because of

shorter urethra

Hearing impaired child will have

speech impairment as well

17 Y/O female pt with repeated UTIs

teach to void after intercourse

The nurse should expect the anterior fontanel to close at what age?

12-18 months

What are the advantages of the ventral gluteal muscle as an injection site? Choose all that apply

Free of important nerves and vascular structures Easily identified by major landmarks Less painful than vastus lateralis

Nursing care of a child during a seizure includes which of the following interventions? Select all that apply

Loosen restrictive clothing Maintain the child's airway Provide a safe environment

Cellulitis treatment

antibiotics

The pediatric nurse describes the effects of cystic fibrosis on the body systems to the parents of a child recently diagnosed with the disease. The nurse would include which of the following statements?: (Select all answers that apply.)

cystic fibrosis causes the production of thick mucus that blocks exocrine glands and affects several body systems. B. the increased mucus production in the airways causes obstruction and stasis of fluid, providing a rich habitat for bacterial growth C. in later childhood, the reproductive system is affected as ovarian ducts and the vas deferens may be occluded leading to infertility.